CLINICA EL BUEN SAMARITANO,INC.
NPI: 1790128080
· BARRANQUITAS, PR 00794
· 261Q00000X
$377K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,833 |
$19K |
| 2019 |
6,054 |
$21K |
| 2020 |
5,646 |
$21K |
| 2021 |
6,905 |
$76K |
| 2022 |
5,472 |
$59K |
| 2023 |
5,638 |
$159K |
| 2024 |
4,182 |
$23K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
|
10,830 |
9,328 |
$81K |
| 90472 |
|
5,591 |
4,911 |
$73K |
| 90649 |
|
1,804 |
1,619 |
$35K |
| 90621 |
|
1,151 |
1,022 |
$26K |
| 90734 |
|
1,590 |
1,454 |
$23K |
| 0003A |
|
398 |
391 |
$16K |
| 90670 |
|
1,655 |
1,526 |
$16K |
| 0072A |
|
249 |
249 |
$10K |
| 0001A |
|
236 |
233 |
$9K |
| 0002A |
|
232 |
220 |
$9K |
| 91307 |
|
502 |
446 |
$9K |
| 0012A |
|
195 |
195 |
$8K |
| 0011A |
|
224 |
212 |
$8K |
| 90713 |
|
1,465 |
1,302 |
$7K |
| 90716 |
|
1,017 |
957 |
$6K |
| 0013A |
|
140 |
140 |
$6K |
| 90686 |
|
1,999 |
1,903 |
$5K |
| 0071A |
|
227 |
222 |
$5K |
| 90707 |
|
1,026 |
969 |
$4K |
| 90715 |
|
834 |
773 |
$4K |
| 0124A |
|
98 |
75 |
$4K |
| 90700 |
|
2,027 |
1,823 |
$4K |
| 90648 |
|
1,609 |
1,460 |
$2K |
| 90656 |
|
211 |
157 |
$2K |
| 0111A |
|
36 |
36 |
$1K |
| 0134A |
|
42 |
33 |
$1K |
| 90633 |
|
845 |
794 |
$1K |
| 0112A |
|
27 |
27 |
$1K |
| 0073A |
|
14 |
14 |
$560.00 |
| 0004A |
|
17 |
17 |
$520.00 |
| 0064A |
|
19 |
15 |
$400.00 |
| 90677 |
|
229 |
201 |
$288.66 |
| 90480 |
|
12 |
12 |
$240.00 |
| 90744 |
|
324 |
287 |
$229.80 |
| 91320 |
|
12 |
12 |
$126.75 |
| 90723 |
|
80 |
80 |
$24.00 |
| 90473 |
|
60 |
60 |
$18.00 |
| 90698 |
|
141 |
136 |
$12.00 |
| 90680 |
|
66 |
64 |
$6.00 |
| 90620 |
|
248 |
245 |
$4.00 |
| 91313 |
|
42 |
33 |
$0.10 |
| 91301 |
|
564 |
550 |
$0.00 |
| 90696 |
|
71 |
71 |
$0.00 |
| 91306 |
|
19 |
15 |
$0.00 |
| 90650 |
|
40 |
40 |
$0.00 |
| 99213 |
|
311 |
303 |
$0.00 |
| 91311 |
|
76 |
75 |
$0.00 |
| 91300 |
|
986 |
886 |
$0.00 |
| 91312 |
|
98 |
75 |
$0.00 |
| 90681 |
|
41 |
41 |
$0.00 |